PETER JOHN WAGNER M.D.
NPI 1962403774
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Rancho Mirage, CA

Q: What is Peter Wagner's NPI number?

The NPI number for Peter Wagner is 1962403774. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Peter Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Q: When was this NPI record last updated?

The NPPES record for Peter Wagner was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2005PECOS Enrolled

84.3/100

CMS Quality Rating

39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 837-8767(760) 837-8806 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2021, Nov 8, 2021, Mar 1, 2016 (3 updates tracked since 2016).

On this page

About Peter John Wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER JOHN WAGNER M.D. (NPI 1962403774) is an individual behavioral neurology & neuropsychiatry provider in Rancho Mirage, California, licensed in California (C130554) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962403774

Entity TypeIndividualMale

Primary Taxonomy2084B0040X

Provider Legal NamePETER JOHN WAGNERCredential: M.D.

Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3221

Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3221 · (760) 837-8767 · Fax (760) 837-8806

Phone(760) 837-8767

Fax(760) 837-8806

Sole ProprietorNo

Enumeration DateAugust 2, 2005

Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration

NPPES CertifiedNovember 15, 2021

✔ NPI 1962403774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084B0040X

Licenses✔ Licensed in CA · C130554✔ Licensed in CO · 36158

Definition

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 36158 (CO), C130554 (CA)

39000 BOB HOPE DR, Rancho Mirage, CA 92270

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Other Identifiers 1

Medicaid11902761CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter John Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.95

Promoting Interoperability

100

Improvement Activities

Cost

58.71

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NORMA ZAPATA LCSW

Social Worker (Clinical)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ADELE ALEXANDRA FIELDS MD

Radiology (Diagnostic Radiology)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 773-1574

DR. PETER JAMES SOFIA M.D.

Anesthesiology

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ANDREA VIRGINIA CORPORA PA-C

Thoracic Surgery (Cardiothoracic Vascular Surgery)

39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270

Riverside County (760) 568-4330

SEVWANDI DE SILVA M.D.

Internal Medicine (Pulmonary Disease)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 834-3564

ERVIN XHUFKA NP

Nurse Practitioner (Family)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 837-8542

LOGAN BUCKNER PT, DPT

Physical Therapist

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

MOLLY E MCKEOWN PA-C

Physician Assistant

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Wagner's NPI number?

The NPI number for Peter Wagner is 1962403774. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Peter Wagner located?

Peter Wagner practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 837-8767.

What is Peter Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Is Peter Wagner enrolled in Medicare?

Yes. Peter Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Wagner was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.